Abstract:

The reverse assessment of the development of liver damage in children brought to emergency service due to chest trauma in the last 10 years; one-center experience. Mehmet Uysal1, 1Karaman State Hospital, Children's Surgery Anabilim Dali, Karaman, Turkey: This study has been aimed at evaluating trauma types, accompanying solid organ injuries, treatments and treatment results in the last 10 years due to künt liver trauma in our clinic. The data of 47 patients detained due to a liver injury from July 2010 to May 2020 were reversed. Results: The study included 30 (6.3 percent) men and 17 (6.6 percent) women who were involved with a kidney injury between 1-17 (7.8 ± 5.8) years. The causes of these injuries include traffic accidents (29, 61,7 percent), falling from the height (12, 25,5 percent), cycling accidents (4, 8,5 percent), falling objects in the body (1, 2,1) and 1 (2,1) ) after the attack. 27 of the patients (57.4 percent) were isolated liver injuries and 20 (42.6 percent) were other organ injuries. Liver injuries 8 patients (17.3% of the stage I, 12 patients (26%) stage II, 18 patients (38.2% of the stage III, 8 patients (17%) stage IV, 1 patient (2%) stage V. Phase I and II all patients were treated conservatively, while 4 patients (22.2% of the stage III, 3 patients (37.5% of the stage IV and 1 patient (100%) stage V were performed as surgical. In stage III, in stage II, in stage IV, 1 patient had an additional peroum perforation. Thirty-nine patients (83%) in these series of liver damage were treated conservatively, while 8 patients (17%) were operated with non-stable vital findings. While death rates, intensive care and the duration of hospital stay and the number of blood transfusions were higher in patients under surgery, the levels of hemoglobin and blood pressure were lower in patients under surgery. The result: Conservative treatment method should be selected in patients with liver injury with stable hemodynamics post-trauma. The shorter duration of the stay in the hospital, the less blood transfusion and the lower morbidity, mortality rates are the main reason for the choice of this method.

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